Individual provider Active NPI

Michelle Osif Haynes, DMD

  • General Practice Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1306073119
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9913 Issued in CO
Practice address
9461 S University Blvd
Highlands Ranch, CO 80126-4976
Phone
(303) 470-1377
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9913 CO Primary

Addresses

Primary practice location

9461 S University Blvd
Highlands Ranch, CO 80126-4976

Mailing address

9461 S University Blvd
Highlands Ranch, CO 80126-4976
Phone (303) 470-1377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720002547 CO Order and Referring Only - DentistPractitioner - Dentist 1951694439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle O. Haynes, DMD, PC General Practice Past Accepting new patients
Highlands Ranch Dental Center General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1306073119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 S UNIVERSITY BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801264976",
            "telephone_number": "303-470-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9461 S UNIVERSITY BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801264976",
            "telephone_number": "303-470-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MICHELLE",
        "middle_name": "OSIF",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.